Lynda S Dougherty in Oakland - Specialist

Lynda S Dougherty - NPI 1376534149

Lynda S Dougherty is a Specialist in Oakland, Maryland. Lynda S Dougherty practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lynda S Dougherty is 1376534149. The last update date is 2019-05-30.

Lynda S Dougherty's current location address is 880 Memorial Dr, Oakland, Maryland. You can contact this provider via phone number 3013344340 and fax number 8775041066. The mailing address for Lynda S Dougherty is 880 Memorial Dr, Oakland, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Lynda S Dougherty
Address 880 Memorial Dr, Oakland, Maryland
Phone Number 3013344340
Fax Number 8775041066
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1376534149
Provider Enumeration Date 2005-11-02
Last Updated Date 2019-05-30

Provider Mailing Address Detail

Address 880 Memorial Dr
City Oakland
State Maryland (MD)
Post Code 215505114
Phone Number 3013344340
Fax Number 8775041066

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 101221383
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5831831 VA --

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FAQs about Lynda S Dougherty

What is the unique provider identifier assigned to Lynda S Dougherty?

The Lynda S Dougherty has been issued the NPI (National Provider Identifier) 1376534149 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Lynda S Dougherty is physically located?

The Lynda S Dougherty is situated at the following address: 880 Memorial Dr, Oakland, MD 215505114.

What is Lynda S Dougherty's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lynda S Dougherty's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1376534149 to Lynda S Dougherty?

The Centers for Medicare & Medicaid Services originally issued the 1376534149 to Lynda S Dougherty on 2005-11-02.

When was the information pertaining to Lynda S Dougherty most recently updated or revised?

The details related to Lynda S Dougherty, including its address, specialty, and other relevant information, were last updated or revised on 2019-05-30.

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